MEDICARE: OPEN ARMS CARING FOUNDATION INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	251C00000X	Developmentally Disabled Services Day Training Agency
2	320600000X	Intellectual and/or Developmental Disabilities Residential Treatment Facility
3	320900000X	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
4	376J00000X	Homemaker

General Provider Information

NPI Number	:	1053029827
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OPEN ARMS CARING FOUNDATION INC

Provider Business Mailing Address
First Line	:	1112 E 79TH ST
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44103-2252
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1112 E 79TH ST
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44103-2252
Country	:	US
Telephone Number	:	216-338-2065
Fax Number	:

Authorized Official
Title or Position	:	CEO/OWNER
Name	:	MS. JASMINE J BROWN
Credential	:
Telephone Number	:	216-338-2065

Provider Enumeration Date	:	11/10/2022
Last Update Date	:	11/10/2022

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